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General NPI Number Information
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NPI Number | 1467877266
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Entity Type | Organization
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Legal Business Name | CHERRY HILL PHARMACEUTICAL CLINIC INC.
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 3540 S HANOVER ST
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City | BALTIMORE
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State | MD
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Zip | 21225-1732
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Country | US
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Telephone | 410-355-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 631 CHERRY HILL RD
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City | BALTIMORE
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State | MD
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Zip | 21225-1228
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Country | US
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Telephone | 410-355-8500
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Fax | 410-354-7161
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILLIP LANEY MARSIGLIA
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Credential | PD
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Telephone | 410-355-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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